Provider Demographics
NPI:1629786835
Name:CHOSEN ACUPUNCTURE INC
Entity Type:Organization
Organization Name:CHOSEN ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:WONG
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:323-540-6155
Mailing Address - Street 1:7530 GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2912
Mailing Address - Country:US
Mailing Address - Phone:323-540-6155
Mailing Address - Fax:
Practice Address - Street 1:7530 GARVEY AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2912
Practice Address - Country:US
Practice Address - Phone:626-861-3161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center